HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: Permit Number: 18619.
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RECEIVED
Building Permit Application SEP 07 2018
Planning and Development Services Permitting Department
BWIl ing and Code Regulation Division St. i_ucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
-PROPOSED,IMPROVEMENT LOCATION:IY
Address: ai `ice , U Fort Pierce, FL 34996
Legal Description: Lot 9 Phase IIA, Palm Breeze Club 1 �
Property Tax ID#: 4a.-51D-.�CO--' LUL7;�� CC���� @ail
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Site Plan Name: Palm Breeze Club
Project Name: Morningside Phase IIA
Setbacks Front { l.,i) Back: --"24. - 3) Right Side: 'T L-D Left Side: j . %)
Lot No.9 (,;r
3lock No. NIA
D�EJTAILED DESCRIPTION -OF. WORK. r
4--e ,<5j IQ, Ic Foi m e g 3 d5{.'Gi�b Ci�'t" 1 y7 6r, (tlL};YI i � �`.C. IL.
1 2� I .1 `s
CONSTRUCTION 1NFORNIATION
Additional workto e e orme d under this permit- check a apply:
�HVAC Gas Tank ®Gas Piping ✓_ Shutters Windows/Doors
EjElectric Plumbing Sprinklers ®Generator Roof Roof pitch
Total Sq. Ft of Construction: S . FtFt. of First Floor: %� I&
Cost of�Construction: $ � "� �-���' Utilities: L .ISewer Septic Building Height:
' Jh. /_ 77 nP
'0)NNER/LESSEE:
CONTRACTOR:.
Name Renar Homes (Morningside), LLC
Name: Glenn Allen Davis II
Address:3725 S East Ocean Blvd, Suite 101
i
Company: Renar Builders, LLC
Address: 3725 S East Ocean Blvd, Suite 101
City: Stuart State: FL
Zip Code: 34996 Fax: 772 692-9155
City: Stuart State: FL
Phone ho.772 692-7800
Zip Code: 34996 Fax: 772 692-9155
E-Mail:lrhondarowe@renarhomes.com
Phone No. 772 692-7800
Fill in fee simple Title Bolder on neat page (if different
E-Mail: rhondarowe@renarhomes.com
State or County License: CBC1261228
from the Owner listed above)
it value or construcibon is :�zbuu or more, a rctcurcueu Nonce of t;ommencement is required.
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SU%PP:LEM�NTAL:CONSTRUCTION:�i. , LAW`. I.Iy.�ORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordins vour Notice of Commencement. �.
gnatu a of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STAT OF FLORIDA
'MCk
STATE OF FLORIDA
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COp TY OF r4 ✓�_
COUNTY OF Ii o i4 i
The forgoing instrpment was acknowledged before me
this 1-4 day of 420_6 by
The forgoing Instrument was acknowledged before me
this � day of 20A by
Name of person making statement
Name of person making statement,
Personally Known X OR Produced Identification
Personally Known K' OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced —.
(Sig ature of Notary Public -State of Florida
(Sign ure of Notary Public- S a
ti1'NY►(,ROCHEL}g'E� A. DURYEA
Commission No. "= # 00087812
4'pVV''•. ROCHELL A. URYEA
Commission No. ='= �a
OMMISt��J
+iFOFM10 EXPIRES April 04, 2021�
IVIT OMMISS'ii3T7' GG087812
EXPIRESApril 0$029
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REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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DATE
COMPLETED
Rev. 8/2/17